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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 08/06/2025
Date Signed: 08/06/2025 04:58:06 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/28/2025 and conducted by Evaluator Wendy Gibbs
COMPLAINT CONTROL NUMBER: 11-AS-20250728135646
FACILITY NAME:REGENCY PALMS LONG BEACHFACILITY NUMBER:
198602567
ADMINISTRATOR:KENIA SANCHEZ PADILLAFACILITY TYPE:
740
ADDRESS:117 E 8TH STREETTELEPHONE:
(562) 432-9260
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY:91CENSUS: 74DATE:
08/06/2025
UNANNOUNCEDTIME BEGAN:
09:11 AM
MET WITH:Robert JakinaTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Signal system was made inaccessible to resident in care
INVESTIGATION FINDINGS:
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On 08/06/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted a complaint visit to the facility listed above. LPA met with Executive Director, Robert Jakini, and the purpose of today’s visit was explained. LPA was granted entry into the facility.

The investigation consisted of the following:

LPA inspected the facility, tested emergency pull cords, interviewed Staff S1-S7, interviewed Residents R1-R8, and received pertinent documentation to the investigation. The documents include a Staff Roster, Resident Roster, Pull Cord Stations testing log (06/11/2025), and Work Orders.

The investigation revealed the following:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 11-AS-20250728135646
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: REGENCY PALMS LONG BEACH
FACILITY NUMBER: 198602567
VISIT DATE: 08/06/2025
NARRATIVE
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Allegation: Signal System was made inaccessible to a resident in care
The allegation alleges the string from a resident’s emergency pull cord had been cut and tied tightly around the button and that it was not able to be pulled.

During the facility tour, LPA checked and tested the emergency pull cords in the following rooms 204A, 302B, 403A, 501A, 602A, 705, 805, and in a common area on the 7th floor. LPA observed the tested emergency pull cord stations were operational, and staff responded to each call within 7 minutes.


During record review, LPA received and reviewed the Pull Cord Stations testing log dated 06/11/2025, that is conducted by S3 on a monthly basis. The log had no indication that the emergency pull cord station in the room in question was not working properly. LPA did observe room 203s pull cords were not operating properly and was repaired the same day it was tested. Additionally, LPA received and reviewed the Work Orders for the facility and observed on 07/30/2025, a work order was submitted for room 302B by S7 at the request of S3 for the need of a bed pull cord.

During interviews with Staff S1-S7, were asked if residents emergency pull cords are operational, seven (7) out of seven (7), stated residents emergency pull cords in their rooms and restrooms are operational.
During interviews with Residents R2-R8, were asked if their emergency pull cord in their room is functional, seven (7) out of seven (7) stated yes, their emergency pull cords are operational. Additionally, Residents R2-R8, were asked if there have been any issues with their emergency pull cord or their pendants, seven (7) out of seven (7) stated there have been no issues with their pendants.

During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

During today’s visit, LPA did not observe or cite any deficiencies.

An exit interview was conducted with Executive Director, Robert Jankini, and a copy of this report was provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2